| NPI | 1770616203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-003201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005302A) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-12-03 |